2105 Carnelian Lane - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Date_ C/ / c / /
Name ; tY .Z, �r/44 Disk #
pip Number
House Number
Alternative Mailing Address
=�!
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits_
Sag /Pipe Deflection , , _
f
Damaged Pipe r ' /
Transition
4" to b "Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Total
4
Time t o pm
Zitr'.S Street Name
Correctly Incorrectly
ZIEMME
Unknown
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
O
El ? • 00
Time • o pm am
Phooge f 4/
/
r spector Signature
For information call;, 651.470.2788
Obstruction
Untie to push past
feet
Number of stacks / Entered St. at
01/77A-lt -1-4_54;4707-147-
A - .1,4 -,-7
Length of Service: 1447
Final Cleanout:
Yellow Copy: City of Eagan
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Notes $o
'' tol
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date_ C/ / c / /
Name ; tY .Z, �r/44 Disk #
pip Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits_
Sag /Pipe Deflection , , _
f
Damaged Pipe r ' /
Transition
4" to b "Transition:
Sump pumps
Roof drains
=�!
OwnerlOccupant Signature
Foundation drains
White Copy: Property Owner
Total
4
Time t o pm
Zitr'.S Street Name
Correctly Incorrectly
ZIEMME
Unknown
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
O
El ? • �
Time am
• o am
Phooge f 4/
/
r spector Signature
For information call;, 651.470.2788
Obstruction
Untie to push past
feet
Number of stacks / Entered St. at
01/77A-lt -1-4_54;4707-147-
A - .1,4 -,-7
Length of Service: 1447
Final Cleanout:
Yellow Copy: City of Eagan
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Notes $o
'' tol
Pink Copy: SEH